Individual
DR. NICOLE MARIE DESHON NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
25 CLEVELAND AVE STE E, MARTINSVILLE, VA 24112-2935
(276) 638-8888
Mailing address
25 CLEVELAND AVE STE E, MARTINSVILLE, VA 24112-2935
(276) 638-8888
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414265
VA
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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